Individual provider Active NPI

Daniel Joseph Halsey, MSW LICSW

  • Social Worker
  • Braham, MN
National Provider Identifier
1174664379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106 Issued in MN
Practice address
521 Broadway Avenue North
Five County Mental Health Center Braham
Braham, MN 55006
Phone
(320) 396-3333
Fax
(320) 396-3363
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106 MN Primary

Addresses

Primary practice location

521 Broadway Avenue North
Five County Mental Health Center Braham
Braham, MN 55006

Mailing address

PO Box 287
521 Broadway Avenue North
Braham, MN 55006
Phone (320) 396-3333

Other identifiers 6

IdentifierTypeStateIssuer
1026275OtherPREFERRED ONE
68737HAOtherBCBS
HP23938OtherHEALTHPARTNERS
P00026860OtherRAILROAD MEDICARE
6220434OtherUBH
16785OtherOPTUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106MNMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Five County Mental Health Center PastSince Nov 15, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174664379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "address_2": "521 BROADWAY AVENUE NORTH",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "55006",
            "telephone_number": "320-396-3333",
            "fax_number": "320-396-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BROADWAY AVENUE NORTH",
            "address_2": "FIVE COUNTY MENTAL HEALTH CENTER BRAHAM",
            "city": "BRAHAM",
            "state": "MN",
            "postal_code": "55006",
            "telephone_number": "320-396-3333",
            "fax_number": "320-396-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSEY",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1026275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68737HA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP23938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00026860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6220434",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "16785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braham, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.